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Everything, even drinking water, may cause birth defects; depending upon dosage, concurrent factors, and genetic susceptibility. Thus, a black list of teratogenic drugs, not to be used in reproductive aged women, is not feasible. Besides, a black list would imply the existence of a complementary white list, which is a wrong concept. In addition, new drugs enter the market every day Therefore, An easily accessible expert service should be available to health care providers and to the population.